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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-002533-32 | EudraCT Number |
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The purpose of the study is to evaluate if INS1007 can reduce pulmonary exacerbations over a 24-week treatment period in participants with non-cystic fibrosis bronchiectasis.
Phase 2 randomized, double-blind, placebo-controlled, parallel-group, multicenter, multi-national study to assess the efficacy, safety and tolerability, and pharmacokinetics (PK) of INS1007 administered once daily for 24 weeks in participants with non-cystic fibrosis bronchiectasis (NCFBE).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brensocatib 10 mg | Experimental | Participants received brensocatib 10 mg once daily (QD) before breakfast, for 24 weeks. |
|
| Brensocatib 25 mg | Experimental | Participants received brensocatib 25 mg QD before breakfast, for 24 weeks. |
|
| Placebo | Placebo Comparator | Participants received the matching placebo QD before breakfast, for 24 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brensocatib 10 mg | Drug | Administered once per day for 24 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to the First Pulmonary Exacerbation Over 24-Week Treatment Period | Time to first pulmonary exacerbation was calculated as the number of days from the date of randomization to the date of first documentation of an exacerbation. Pulmonary exacerbation was defined as having 3 or more of the following symptoms for at least 48 hours resulting in a physician's decision to prescribe antibiotics: 1. Increased cough 2. Increased sputum volume or change in sputum consistency 3. Increased sputum purulence 4. Increased breathlessness and/or decreased exercise tolerance 5. Fatigue and/or malaise 6. Hemoptysis A minimum of 4 weeks must have occurred between one exacerbation onset and the next. Any exacerbation that occurred less than 4 weeks from the prior exacerbation was not considered a new exacerbation. The analysis was performed using the stratified log rank test and using Kaplan Meier (KM) curves. | Baseline (Day 1) to Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Quality of Life Questionnaire - Bronchiectasis (QOL-B) Respiratory Symptoms Domain Score Over 24 Week Treatment Period | The QOL-B is a validated, self-administered patient reported outcome (PRO) that assesses symptoms, functioning, and health-related (HR) QOL for participants with non-cystic fibrosis bronchiectasis (NCFBE). The QOL-B contains 37 items in 8 domains (Respiratory Symptoms, Physical Functioning, Role Functioning, Emotional Functioning, Social Functioning, Vitality, Health Perceptions and Treatment Burden). Each of the 37 items is scored from 1 to 4, and each of the 8 domains scale scores is standardized on a 0-100 point scale, with higher scores representing fewer symptoms or better functioning and HR QoL. A positive change from Baseline indicates improvement in symptoms. For this outcome measure, change in the respiratory symptoms domain score from Baseline was reported. The analysis was based on mixed model for repeated measures (MMRM) approach. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carlos Fernandez, MD | Insmed Incorporated | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Phoenix Medical Group |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39938076 | Derived | Johnson ED, Long MB, Perea L, Shih VH, Fernandez C, Teper A, Cipolla D, McIntosh E, Galloway R, Eke Z, Shuttleworth M, Hull R, Spinou A, De Soyza A, Ringshausen FC, Goeminne P, Lorent N, Haworth C, Loebinger MR, Blasi F, Shteinberg M, Aliberti S, Polverino E, Sibila O, Shoemark A, Mange K, Huang JTJ, Stobo J, Chalmers JD. Broad Immunomodulatory Effects of the Dipeptidyl Peptidase-1 Inhibitor Brensocatib in Bronchiectasis: Data from the Phase 2, Double-Blind, Placebo-controlled WILLOW Trial. Am J Respir Crit Care Med. 2025 May;211(5):770-778. doi: 10.1164/rccm.202408-1545OC. | |
| 37538173 |
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416 participants were screened with 160 participants resulting in a screen failure. A total of 256 participants were randomized.
Participants took part in the trial at 116 sites in 14 countries from 31 October 2017 to 12 December 2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | Brensocatib 10 mg | Participants received brensocatib 10 mg QD before breakfast, for 24 weeks. |
| FG001 | Brensocatib 25 mg | Participants received brensocatib 25 mg QD before breakfast, for 24 weeks. |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 4, 2018 | Dec 9, 2022 |
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| Brensocatib 25 mg |
| Drug |
Administered once per day for 24 weeks |
|
| Placebo | Drug | Administered once per day for 24 weeks |
|
| Baseline (Day 1) to Week 24 |
| Change From Screening in Post-Bronchodilator Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) Over 24-Week Treatment Period | FEV1 was used to assess lung function and is the maximum amount of air that can be forced out in one second after taking a deep breath. The percent predicted FEV1 was calculated by converting the spirometer reading to a percentage of what would be predicted as normal FEV1 based on a several personal factors (e.g. sex, age, etc.). Change from screening in percent predicted FEV1 to Week 24 was calculated as: percent predicted FEV1 value at Week 24 and percent predicted FEV1 value at screening. A positive percent change from screening indicates an improvement in lung function. The analysis was done using analysis of covariance (ANCOVA) with Pa colonization status and maintenance macrolide antibiotic use at Baseline as covariates. | Screening (Days -42 to -1) to Week 24 |
| Change From Baseline in Concentration of Active Neutrophil Elastase (NE) in Sputum | The concentration of active NE in sputum, was measured by the difference between the pre-treatment concentration and on-treatment concentration. In bronchiectasis, activation of neutrophils in the airway leads to release of NE which leads to damaged airway walls, mucus hypersecretion, exacerbated inflammation, which in turn affects neutrophil and macrophage functions, increasing the risk of infection. Negative change from Baseline indicates improvement. | Baseline (Day 1) to Week 24 |
| Number of Participants Who Experienced a Pulmonary Exacerbation | Pulmonary exacerbation was defined as having 3 or more of the following symptoms for at least 48 hours resulting in a physician's decision to prescribe antibiotics. 1. Increased cough 2. Increased sputum volume or change in sputum consistency 3. Increased sputum purulence 4. Increased breathlessness and/or decreased exercise tolerance 5. Fatigue and/or malaise 6. Hemoptysis A minimum of 4 weeks must have occurred between one exacerbation onset and the next. Any exacerbation that occurred less than 4 weeks from the prior exacerbation was not considered a new exacerbation. | Baseline (Day 1) to Week 24 |
| Peoria |
| Arizona |
| 85381 |
| United States |
| NewportNativeMD | Newport Beach | California | 92663 | United States |
| Palmtree Clinical Research | Palm Springs | California | 92262-4871 | United States |
| UC Davis Medical Center | Sacramento | California | 95817 | United States |
| Stanford University Medical Center | Stanford | California | 94305-5236 | United States |
| National Jewish Heath | Denver | Colorado | 80206 | United States |
| UConn Health Center | Farmington | Connecticut | 06030-1321 | United States |
| MedStar Georgetown University Hospital | Washington D.C. | District of Columbia | 20007 | United States |
| Clinical Research Specialists, LLC | Celebration | Florida | 34747 | United States |
| St. Francis Medical Institute | Clearwater | Florida | 33765 | United States |
| University of Florida | Gainesville | Florida | 32610 | United States |
| University of Miami Miller School of Medicine | Miami | Florida | 33136 | United States |
| San Marcus Research Clinic, Inc. | Miami Lakes | Florida | 33014 | United States |
| Sarasota Memorial Hospital Clinical Research Center | Sarasota | Florida | 34239 | United States |
| The Emory Clinic, Pulmonology | Atlanta | Georgia | 30342-2147 | United States |
| University of Chicago | Chicago | Illinois | 60637 | United States |
| University of Iowa | Iowa City | Iowa | 52242 | United States |
| LSU Health Sciences Center | New Orleans | Louisiana | 70112 | United States |
| Johns Hopkins University, Division of Pulmonary and Critical Care Medicine | Baltimore | Maryland | 21205 | United States |
| Pulmonary and Critical Care Associates of Baltimore | Towson | Maryland | 21286 | United States |
| Mid Atlantic Pulmonary & Research Center | Westminster | Maryland | 21157 | United States |
| Michigan Medicine | Ann Arbor | Michigan | 48109 | United States |
| NYU Pulmonary & Critical Care Associates | New York | New York | 10016 | United States |
| Columbia University Medical Center/ New York Presbyterian Hospital | New York | New York | 10032 | United States |
| The University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27599 | United States |
| Novant Health Pulmonary Medicine South | Charlotte | North Carolina | 28215 | United States |
| Southeastern Research Center | Winston-Salem | North Carolina | 27103 | United States |
| University Hospitals Cleveland Medical Center | Cleveland | Ohio | 44106 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Temple University Hospital | Philadelphia | Pennsylvania | 19140 | United States |
| SMS Clinical Research, LLC | Mesquite | Texas | 75149 | United States |
| The University of Texas Health Science at Tyler | Tyler | Texas | 75708 | United States |
| MultiCare Institute for Research & Innovation | Tacoma | Washington | 98405 | United States |
| Concord Repatriation General Hospital | Concord | New South Wales | 2139 | Australia |
| Mater Misericordia Medical Centre | Brisbane | Queensland | 4101 | Australia |
| Gallipoli Medical Research Foundation | Brisbane | Queensland | 4120 | Australia |
| Metro North Hospital and Health Service (The Prince Charles Hospital) | Chermside | Queensland | 4032 | Australia |
| Respiratory Clinical Trials Unit, Royal Adelaide Hospital | Adelaide | South Australia | 5000 | Australia |
| Respiratory Clinical Trials PTY LTD | Kent Town | South Australia | 5067 | Australia |
| Box Hill Hospital, Eastern Clinical Research Unit | Box Hill | Victoria | 3128 | Australia |
| Alfred Hospital | Melbourne | Victoria | 3004 | Australia |
| Institute for Respiratory Health | Nedlands | Western Australia | 6009 | Australia |
| UZ Leuven | Leuven | Vlaams Brabant | 3000 | Belgium |
| Medical Center ReSpiro Ltd (Kiselov) | Razgrad | Momina | 7200 | Bulgaria |
| Medical Center UNIMED | Plovdiv | 4000 | Bulgaria |
| MHAT "Dr IvanSeliminski"-Sliven | Sliven | 8800 | Bulgaria |
| Cardioart Medical Center | Stara Zagora | 6000 | Bulgaria |
| Hvidovre Hospital | Hvidovre | Capital Region | 2650 | Denmark |
| Aarhus University Hospital | Aarhus | 8000 | Denmark |
| Sjællands Universitetshospital, Roskilde | Roskilde | 4000 | Denmark |
| Krankenhaus Donaustauf | Donaustauf | Bavaria | 93093 | Germany |
| Klinikum der Universität München Medizinische Klinik V Pneumologie / Mukoviszidose-Zentrum für Erwachsene | Munich | Bavaria | 80336 | Germany |
| Klinikum Nuernberg | Nuremberg | Bavaria | 90419 | Germany |
| Universitätsklinikum Frankfurt | Frankfurt am Main | Hesse | 60590 | Germany |
| IKF Pneumologie Frankfurt | Frankfurt am Main | Hesse | 60596 | Germany |
| Ruhrlandklinik Essen, University Essen | Essen | North Rhine-Westphalia | 45239 | Germany |
| Forschungszentrum Borstel | Borstel | Schleswig-Holstein | 23845 | Germany |
| Universitätsklinikum Jena | Jena | Thuringia | 7747 | Germany |
| Research Center for Medical Studies (RCMS) | Berlin | 10717 | Germany |
| Städt. Klinikum München GmbH, Bogenhausen | München | 81925 | Germany |
| University of Milan, IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico | Milan | Lombardy | 20122 | Italy |
| Ospedale San Gerardo | Monza | Monza E Brianza | 20900 | Italy |
| University Hospital of Pisa | Pisa | Via Paradisa 2 | 56124 | Italy |
| Fondazione IRCCS Policlinico San Matteo | Pavia | 27100 | Italy |
| ICS Maugeri spa SB, IRCSS Telese | Telese Terme | 82037 | Italy |
| Noordwest Ziekenhuis Group | Alkmaar | 1815JD | Netherlands |
| Amphia Longresearch Astma/COPD Uni 52/5e etage | Breda | 4818CK | Netherlands |
| RadboudUMC, location Dekkerswald | Nijmegen | 6525GA | Netherlands |
| Zuyderland MC | Sittard | 6162BG | Netherlands |
| P3 Research | Tauranga | BOP | 3110 | New Zealand |
| P3 Research (Hawke's Bay) | Hastings | Hawkes Bay | 4130 | New Zealand |
| Southern District health Board/Dunedin Hospital | Dunedin | Otago | 9016 | New Zealand |
| Waikato District Health Board | Hamilton | Waikato Region | 3204 | New Zealand |
| Auckland District Health Board, Greenlane clinical Centre | Auckland | 1051 | New Zealand |
| Centrum Badan Klinicznych, Piotr Napora Lekarze i Spolka Partnerska, Osrodek Badan Wczesnej Fazy | Wroclaw | Lower Silesian Voivodeship | 51-162 | Poland |
| Grażyna Jasieniak Pinis Niepubliczny Zakład Opieki Zdrowotnej Atopia | Krakow | 31-159 | Poland |
| NZOZ Krak-Medyk Sp. z o.o | Krakow | 31-455 | Poland |
| Medical University of Lodz Poland | Lodz | 90-153 | Poland |
| Gabinet Lekarski Pediatryczno-Alergologiczny Zenon Bukowczan | Sucha Beskidzka | 34-200 | Poland |
| Singapore General Hospital | Singapore | 169856 | Singapore |
| Changi General Hospital | Singapore | 529889 | Singapore |
| Inha University Hospital | Incheon | Jung-gu | 22332 | South Korea |
| Gachon University Gil Medical Center | Incheon | Namdong-gu | 21565 | South Korea |
| Chonnam National University Hospital | Gwangju | 61469 | South Korea |
| The Catholic University of Korea Incheon St. Mary's Hospital | Incheon | 21431 | South Korea |
| The Catholic University of Korea, St. Paul's Hospital | Seoul | 02559 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Konkuk University Medical Center | Seoul | 05030 | South Korea |
| Asan Medical Center | Seoul | 05505 | South Korea |
| The Catholic University of Korea, Seoul St. Mary's Hospital | Seoul | 06591 | South Korea |
| Hospital Clinic de Barcelona | Barcelona | 08036 | Spain |
| Hospital de la Santa Creu i Sant Pau | Barcelona | 08041 | Spain |
| Hospital Universitari de Bellvitge | Barcelona | 08907 | Spain |
| Hospital Universitari de Girona Dr. Josep Trueta | Girona | 17007 | Spain |
| Hospital Universiatrio y politecnico La Fe | Valencia | 46026 | Spain |
| NHS Tayside | Dundee | Angus | DD1 9SY | United Kingdom |
| Papworth Hospital NHS Foundation Trust | Cambridge | Cambridgeshire | CB23 3RE | United Kingdom |
| Blackpool Teaching Hospitals NHS Foundation Trust | Blackpool | Lancashire | FY38NR | United Kingdom |
| Liverpool Heart and Chest Hospital NHS Foundation Trust | Liverpool | Merseyside | L14 3PE | United Kingdom |
| NHS Lothian | Edinburgh | Scotland | EH16 4SA | United Kingdom |
| Ashford and St Peter's Hospitals NHS Foundation Trust | Chertsey | Surrey | KT16 0PZ | United Kingdom |
| The Royal Wolverhampton NHS Trust | Wolverhampton | West Midlands | WV10 0QP | United Kingdom |
| Royal Brompton & Harefield NHS Foundation Trust | London | SW3 6HP | United Kingdom |
| Pennine Acute Hospitals NHS Trust | Manchester | M8 5RB | United Kingdom |
| University Hospital Southampton NHS Foundation Trust | Southampton | SO16 6YD | United Kingdom |
| Derived |
| Basso J, Chen KJ, Zhou Y, Mark L, LaSala D, Dorfman A, Atalla M, Chun D, Viramontes V, Chang C, Leifer F, McDonald PP, Cipolla DC. The pharmacokinetic profile of brensocatib and its effect on pharmacodynamic biomarkers including NE, PR3, and CatG in various rodent species. Front Pharmacol. 2023 Jul 19;14:1208780. doi: 10.3389/fphar.2023.1208780. eCollection 2023. |
| 37198686 | Derived | Cipolla D, Zhang J, Korkmaz B, Chalmers JD, Basso J, Lasala D, Fernandez C, Teper A, Mange KC, Perkins WR, Sullivan EJ. Dipeptidyl peptidase-1 inhibition with brensocatib reduces the activity of all major neutrophil serine proteases in patients with bronchiectasis: results from the WILLOW trial. Respir Res. 2023 May 17;24(1):133. doi: 10.1186/s12931-023-02444-z. |
| 32897034 | Derived | Chalmers JD, Haworth CS, Metersky ML, Loebinger MR, Blasi F, Sibila O, O'Donnell AE, Sullivan EJ, Mange KC, Fernandez C, Zou J, Daley CL; WILLOW Investigators. Phase 2 Trial of the DPP-1 Inhibitor Brensocatib in Bronchiectasis. N Engl J Med. 2020 Nov 26;383(22):2127-2137. doi: 10.1056/NEJMoa2021713. Epub 2020 Sep 7. |
| FG002 | Placebo | Participants received the matching placebo QD before breakfast, for 24 weeks. |
|
| Received Study Treatment (Safety Population) | Safety population included all participants who received at least 1 dose of the study drug. |
|
| Participants Did Not Receive Drug |
|
| Pharmacodynamic (PD) Population | PD population included participants who received at least 1 dose of the study drugs, have at least 1 pre-dose and 1 post-dose measurement for neutrophil elastase (NE), or proteinase 3, or cathepsin G, or other biomarkers, and have no major protocol deviations that considered to impact on the analysis of the PD data. |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
ITT population included all the participants who were randomized.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Brensocatib 10 mg | Participants received brensocatib 10 mg QD before breakfast, for 24 weeks. |
| BG001 | Brensocatib 25 mg | Participants received brensocatib 25 mg QD before breakfast, for 24 weeks. |
| BG002 | Placebo | Participants received the matching placebo QD before breakfast, for 24 weeks. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to the First Pulmonary Exacerbation Over 24-Week Treatment Period | Time to first pulmonary exacerbation was calculated as the number of days from the date of randomization to the date of first documentation of an exacerbation. Pulmonary exacerbation was defined as having 3 or more of the following symptoms for at least 48 hours resulting in a physician's decision to prescribe antibiotics: 1. Increased cough 2. Increased sputum volume or change in sputum consistency 3. Increased sputum purulence 4. Increased breathlessness and/or decreased exercise tolerance 5. Fatigue and/or malaise 6. Hemoptysis A minimum of 4 weeks must have occurred between one exacerbation onset and the next. Any exacerbation that occurred less than 4 weeks from the prior exacerbation was not considered a new exacerbation. The analysis was performed using the stratified log rank test and using Kaplan Meier (KM) curves. | ITT population included all participants who were randomized. Overall number of participants analyzed are number of participants with at least one exacerbation over 24-week treatment period. | Posted | Median | 90% Confidence Interval | days | Baseline (Day 1) to Week 24 |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Quality of Life Questionnaire - Bronchiectasis (QOL-B) Respiratory Symptoms Domain Score Over 24 Week Treatment Period | The QOL-B is a validated, self-administered patient reported outcome (PRO) that assesses symptoms, functioning, and health-related (HR) QOL for participants with non-cystic fibrosis bronchiectasis (NCFBE). The QOL-B contains 37 items in 8 domains (Respiratory Symptoms, Physical Functioning, Role Functioning, Emotional Functioning, Social Functioning, Vitality, Health Perceptions and Treatment Burden). Each of the 37 items is scored from 1 to 4, and each of the 8 domains scale scores is standardized on a 0-100 point scale, with higher scores representing fewer symptoms or better functioning and HR QoL. A positive change from Baseline indicates improvement in symptoms. For this outcome measure, change in the respiratory symptoms domain score from Baseline was reported. The analysis was based on mixed model for repeated measures (MMRM) approach. | ITT population included all participants who were randomized. Overall number of participants analyzed are the number of participants with data available for analyses at the latest assessment visit over the 24-week treatment period. | Posted | Least Squares Mean | Standard Error | score on a scale | Baseline (Day 1) to Week 24 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Screening in Post-Bronchodilator Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) Over 24-Week Treatment Period | FEV1 was used to assess lung function and is the maximum amount of air that can be forced out in one second after taking a deep breath. The percent predicted FEV1 was calculated by converting the spirometer reading to a percentage of what would be predicted as normal FEV1 based on a several personal factors (e.g. sex, age, etc.). Change from screening in percent predicted FEV1 to Week 24 was calculated as: percent predicted FEV1 value at Week 24 and percent predicted FEV1 value at screening. A positive percent change from screening indicates an improvement in lung function. The analysis was done using analysis of covariance (ANCOVA) with Pa colonization status and maintenance macrolide antibiotic use at Baseline as covariates. | ITT population included all participants who were randomized. Overall number of participants analyzed are the number of participants with data available for analyses over the 24-week treatment period. | Posted | Least Squares Mean | Standard Error | percent predicted FEV1 | Screening (Days -42 to -1) to Week 24 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Concentration of Active Neutrophil Elastase (NE) in Sputum | The concentration of active NE in sputum, was measured by the difference between the pre-treatment concentration and on-treatment concentration. In bronchiectasis, activation of neutrophils in the airway leads to release of NE which leads to damaged airway walls, mucus hypersecretion, exacerbated inflammation, which in turn affects neutrophil and macrophage functions, increasing the risk of infection. Negative change from Baseline indicates improvement. | Pharmacodynamic population included participants who received at least 1 dose of the study drugs, have at least 1 pre-dose and 1 post-dose measurement for NE, or proteinase 3, or cathepsin G, or other biomarkers, and have no major protocol deviations that considered to impact on the analysis of the PD data. | Posted | Least Squares Mean | Standard Error | microgram/ milliliter (µg/mL) | Baseline (Day 1) to Week 24 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Who Experienced a Pulmonary Exacerbation | Pulmonary exacerbation was defined as having 3 or more of the following symptoms for at least 48 hours resulting in a physician's decision to prescribe antibiotics. 1. Increased cough 2. Increased sputum volume or change in sputum consistency 3. Increased sputum purulence 4. Increased breathlessness and/or decreased exercise tolerance 5. Fatigue and/or malaise 6. Hemoptysis A minimum of 4 weeks must have occurred between one exacerbation onset and the next. Any exacerbation that occurred less than 4 weeks from the prior exacerbation was not considered a new exacerbation. | ITT population included all participants who were randomized. | Posted | Count of Participants | Participants | Baseline (Day 1) to Week 24 |
|
Baseline to Week 28 (End of study visit)
Safety population included all participants who received at least one dose of study treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Brensocatib 10 mg | Participants received brensocatib 10 mg QD before breakfast, for 24 weeks. | 0 | 81 | 11 | 81 | 47 | 81 |
| EG001 | Brensocatib 25 mg | Participants received brensocatib 25 mg QD before breakfast, for 24 weeks. | 1 | 89 | 10 | 89 | 43 | 89 |
| EG002 | Placebo | Participants received the matching placebo QD before breakfast, for 24 weeks. | 0 | 85 | 19 | 85 | 33 | 85 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infective exacerbation of bronchiectasis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Aspergilloma | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Subcutaneous abscess | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Pneumonia bacterial | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Lung infiltration | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Carotid artery occlusion | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Carotid artery stenosis | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Lymphocytosis | Blood and lymphatic system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Ventricular extrasystoles | Cardiac disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Biliary colic | Hepatobiliary disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Overdose | Injury, poisoning and procedural complications | MedDRA 22.0 | Systematic Assessment |
| |
| Malnutrition | Metabolism and nutrition disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Foot deformity | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Alcohol abuse | Psychiatric disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA 22.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Periodontal disease | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Sputum increased | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 22.0 | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Insmed Medical Information | Insmed Incorporated | 1-844-446-7633 | medicalinformation@Insmed.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 10, 2020 | Dec 9, 2022 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D001987 | Bronchiectasis |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000619932 | brensocatib |
Not provided
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| African American/Black of African origin |
|
| Asian |
|
| American Indian or Alaska Native |
|
| Native Hawaiian or Other Pacific Islander |
|
| Other |
|
Stratified by colonization status and maintenance antibiotic use at Baseline. |
| = 0.022 |
P-value is one-sided for superiority. |
| Superiority |
Participants received brensocatib 25 mg QD before breakfast, for 24 weeks.
| OG002 | Placebo | Participants received the matching placebo QD before breakfast, for 24 weeks. |
|
|
| OG002 | Placebo | Participants received the matching placebo QD before breakfast, for 24 weeks. |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|